Social communication in children with epilepsy

Caplan, Rochelle; Guthrie, Donald; Komo, Scott; Siddarth, Prabha; Chayasirisobhon, Sirichai; Kornblum, Harley I.; Sankar, R.; Hansen, Rebecca; Mitchell, Wendy G.; Shields, W. Donald

doi:10.1111/1469-7610.00017

Cited by 41 publications

(37 citation statements)

References 44 publications

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“…First, epilepsy factors such as seizure frequency, seizure type, lateralization, and localization of epilepsy have not been taken into account. These factors may be negatively related to language and psychosocial functioning (Caplan et al . 2002, Hermann et al .…”

Section: Discussionmentioning

confidence: 99%

Pragmatic communication deficits in children with epilepsy

Broeders

Geurts

Jennekens‐Schinkel

2010

Intl J Lang & Comm Disor

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Section: Discussionmentioning

confidence: 99%

Pragmatic communication deficits in children with epilepsy

Broeders

Geurts

Jennekens‐Schinkel

2010

Intl J Lang & Comm Disor

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“…This task was designed to be an ecologically valid assessment of natural speech 17 ; it has been validated and used extensively in other clinical populations, including children and adolescents between the ages of 8–18 with autistic spectrum disorders 38 , childhood-onset schizophrenia and spectrum disorders 2, 6, 39 , attention deficit hyperactivity disorder 40 , and epilepsy 41, 42 . Task administration takes about 20–25 minutes, providing an extensive amount of speech for analysis.…”

Section: Methodsmentioning

confidence: 99%

Thought Disorder and Communication Deviance as Predictors of Outcome in Youth at Clinical High Risk for Psychosis

Bearden

Caplan

et al. 2011

Journal of the American Academy of Child & Adolescent Psych

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Objective Given the fundamental role of thought disorder in schizophrenia, subtle communication disturbance may be a valuable predictor of subsequent development of psychosis. Here we examined the contribution of thought and communication disturbance to the prediction of outcome in adolescents identified as putatively prodromal for psychosis. Method Transcribed speech samples were elicited from 105 adolescents (54 identified as being at clinical high risk for a first episode of psychosis (CHR) and 51 demographically comparable comparison subjects) and coded for formal thought disorder (FTD) and linguistic cohesion. We then examined the association of baseline FTD/cohesion with conversion to psychosis and social and role outcome at follow-up, approximately one year later. Results At baseline, CHR patients who subsequently converted to psychosis (CHR+) showed an elevated rate of illogical thinking and poverty of content (POC) in their speech, relative to both typically developing controls and non-converters (CHR−). CHR+ youth also used significantly less referential cohesion at baseline, indicating that they provide fewer references to people, objects, or events mentioned in preceding utterances. Multiple regression models indicated that, among measures of FTD/cohesion, illogical thinking was uniquely predictive of subsequent conversion to psychosis, whereas POC and referential cohesion were significant predictors of social and role functioning, respectively. Conclusions Despite the absence of fully psychotic symptoms, putatively prodromal individuals evidence signs of communication disturbance that are qualitatively similar to those seen in schizophrenia, and are predictive of both conversion to psychosis and psychosocial outcome. These findings suggest that FTD measures have prognostic significance for at-risk youth.

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“…Studies often report that the mean IQ of groups with epilepsy is at the lower end of the normal range [23,24], and the ability to reason about belief states and to understand the causes and consequences of emotions is impaired in children with global developmental delay [25,26]. Children with epilepsy with normal global cognition are also at higher risk for disorders of language and communication [27][28][29]. Preschool CWE have been found to have lower verbal IQ and deficits in basic language functions [30][31][32], whereas school-aged CWE cohorts have displayed additional problems with more complex skills that include pragmatic language [33,34] and conversational discourse functions [28,35].…”

Section: Introductionmentioning

confidence: 99%

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

Lunn

Lewis

Sherlock

2015

Epilepsy & Behavior

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Children with epilepsy (CWE) have social difficulties that can persist into adulthood, and this could be related to problems with understanding others' thoughts, feelings, and intentions. This study assessed children's ability to interpret and reason on mental and emotional states (Theory of Mind) and examined the relationships between task scores and reports of communication and behavior. Performance of 56 CWE (8-16years of age) with below average IQ (n=17) or an average IQ (n=39) was compared with that of 62 healthy controls with an average IQ (6-16years of age) on cognition, language, and two advanced Theory of Mind (ToM) tasks that required children to attribute mental or emotional states to eye regions and to reason on internal mental states in order to explain behavior. The CWE-below average group were significantly poorer in both ToM tasks compared with controls. The CWE - average group showed a significantly poorer ability to reason on mental states in order to explain behavior, a difference that remained after accounting for lower IQ and language deficits. Poor ToM skills were related to increased communication and attention problems in both CWE groups. There is a risk for atypical social understanding in CWE, even for children with average cognitive function.

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Social communication in children with epilepsy

Abstract: Recurrent CPS and PGE and fronto-temporal localization of epileptic activity might impair the development of children's communication skills.

Cited by 41 publications

References 44 publications

Pragmatic communication deficits in children with epilepsy

Pragmatic communication deficits in children with epilepsy

Thought Disorder and Communication Deviance as Predictors of Outcome in Youth at Clinical High Risk for Psychosis

Impaired performance on advanced Theory of Mind tasks in children with epilepsy is related to poor communication and increased attention problems

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